Individual
DR. ISAAC VIELMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18855 VICTORY BLVD, RESEDA, CA 91335-6445
(818) 920-8070
(818) 245-1707
Mailing address
928 N SAN FERNANDO BLVD, #J-234, BURBANK, CA 91504-4350
(818) 920-8070
(818) 245-1707
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A90584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2580338
—
CA
Enumeration date
10/03/2006
Last updated
12/01/2021
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